Sams, Lottie M
..
INtll if IjO-i.'iL.:::l/L.
SPT 5, 1996 12:01P~
!
CEMETERY DEED
~u
THIS INDENTURE made this .:tL:- day of
between the City of Clearwater, Florida, a municipal
and LOTTIE M.SAMS. whose mailing address is 1001 N. Greenwood
Avenue. BldQ. 4. Apt. 3. Clearwater. FL 34615 in the County of Pinellas,
State of Florida, as Grantee:
OUNTY FLA.
PINELLAS C 345
OFF.REC.BK 9454 PG
WITNESSETH: That the said Grantor, for and in consideration of the sum
of $500.00, to it in hand paid by the said Grantee, the receipt whereof is
hereby acknowledged, has remised released and quit-claimed unto the said .3 . S-O
Grantee, and their heirs forever, all the right, title and interest, which the ocumentary Tax Pd. $
said Grantor has in and to the following described parcel of land, lying and
being in Pinellas. County, State of Florida, to wit: SPACE Three (3). LOT. Intangible Tax Pd.
"{waive '12tBtOCK Sixteen. (16), Clearwater Cemetery, as recorded in Karl..n F. DeBlaker, lerk. Pinellas County
Plat Book 60, Page 30, Public Records of Pinellas County, Florida. 'I Ceputx Cled
This conveyance is subject to the condition that Grantee herein shall not assign or co ey said property without the written
consent of the Grantor, and to the further condition that said property shall be used only for cemetery purposes as human burial
sites and is subject to such other rules and regulations the City of Clearwater may adopt pertaining to use of said property. . . .
TO HAVE AND TO HOLD the same to the only proper use, benefit, and behoof of the said Grantee and their heirs and
assigns forever.
IN WITNESS WHEREOF, said Grantor has caused these presents to be executed in its nani~ by its Mayor Commissioner, by
its City Manager, and to be attested and its corporate seal affixed by the City Clerk on the.day a~~ yel:l'r'first il.bovewritten.
~
~
~
~
~
~
:'
Attest:
Susan Stephenson, Deputy
STATE OF FLORIDA )
COUNTY OF PINELLAS)
Before me. the undersigned, personally appeared Rita Garvey, the Mayor-Commissioner of the City of Clearwater, Florida, to
me well known to be the person who executed the foregoing instrument and acknowledged the execution thereof to be her free
act and deed for the use and purposes herein set forth.
WITNESS my hand and oWdal ,.al 'hl~ay of ~
.1996.
~rY~
...~'( p(;~ CAROLYN L. BR~mtry Public
<:l .... COMMISSIQ/'oJ # C I. ~
~ iJ EXPIRES MAY 22,1999
~ W BONDEO THAll
OF f\l ATLANllC BONOING co.. INC,
~
~
~
(SEAl)
Print/type name:
'-., STATE OF FLORIDA )
~
~ COUNTY OF PINELLAS)
~ Before me. the undersigned, personally appeared Elizabeth M. Deptula, the City Manager of the City of Clearwater, Florida,
""" to me well known to be the person who executed the foregoing instrument and acknowledged the execution thereof to be her
.~' 1'\ free act and deed for the use and purposes here~et forth. ~
~ WITNESS my hand and o'fidal ,aal 'hI, ';l'l day of 7F. - t . 1996.
~ Approved ~ form and legal sufficiency: Oa:~.~ . P n yea e:r' ~~ ~ v~ oo~~~:::~~;~ ~:'o
,,'~ . ~ '!\.~~ BQNOEOTHAU
"'-S ohn Carassas, Assistant City Attorney , " I "~~Of f\.~ ATLANTIC BONDING CO., INC.
o at ~
~ DEED.DOC ~ ~ OLU.- r- I'^ I ~ 9700-0026
..... '-J () N ... J ".
\,". 0 0 w a:: U) r- u cr: w. u.. l-. Rev. 5/96
or- Z.......w WI- 0
-- <( 0 (r: 0 0 _ 0.. U lL ~ ~: